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Revista médica de Chile · Feb 1999
Review[Ventilatory support in patients with acute disease of the central nervous system].
- G Bugedo, L Castillo, and G Hernández.
- Departamento de Anestesiología, Pontificia Universidad Católica de Chile. bugedo@med.puc.cl
- Rev Med Chil. 1999 Feb 1;127(2):211-21.
AbstractPatients with severe head injury are prone to pulmonary complications that result in hypoxemia or hypercarbia, which could worsen their neurological condition. A rational ventilatory approach requires a good knowledge of respiratory and neurological pathophysiology. Airway management is of prime importance in neurological patients. Prophylactic chronic hyperventilation in head trauma is no longer recommended since it could impair cerebral perfusion, although transient hypocarbia could be of benefit to some patients. The use of low or moderate positive and expiratory pressure levels apparently improves oxygenation without worsening intracranial pressure. Ventilatory management should be closely monitored and adjusted to hemodynamic, respiratory and neurological status to achieve a good outcome.
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